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                <text>ANALISIS EFEKTIVITAS SELF-MANAGEMENT SUPPORT TERHADAP KUALITAS HIDUP PASIEN KANKER PAYUDARA</text>
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                <text>Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing.&#13;
&#13;
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                <text>Breast cancer and its treatments impose a complex symptom burden that negatively affects patients’ quality of life. Self-management support (SMS) is a patient empowerment strategy aimed at enhancing independence in nursing care. This study aimed to analyze the effectiveness of SMS on the quality of life of breast cancer patients at Haji General Hospital Medan. Methods: This study employed a quasi-experimental design with a pre–post test control group approach. The sample consisted of 60 respondents (30 in the intervention group and 30 in the control group), selected using purposive sampling. The intervention group received structured education and self-monitoring guidance for 8 weeks. The research instrument used was the EORTC QLQ-C30 questionnaire. Data were analyzed using Paired T-test and Independent T-test. Results: There was a significant increase in the mean quality of life score in the intervention group, from 52.3 to 75.6 (p &lt; 0.001), while the control group showed no significant change (p = 0.125). Intergroup comparison after the intervention revealed a statistically significant difference (p = 0.000). The emotional functioning and pain management domains showed the most substantial improvements. Conclusion: Self-management support is effective in improving the quality of life of breast cancer patients. This intervention is recommended to be integrated into standard oncology nursing care to promote patient independence in managing treatment-related side effects.</text>
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                <text>Adelina Sembiring, Lisdayanti Simanjuntak, Lisbet Gurning, Sri Mulati Nendah Agreta, Petra Diansari Zega, Abdul Mazid Bancin&#13;
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                <text>Analysis of Factors Affecting Mothers Behavior in The Lintas Diarrhea Program in Bangun Rejo Village in 2025</text>
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                <text>Background: Diorrhea remains a major public health problem in Indonesia and is a significant cause of morbidity and mortality in young children, especially in areas with limited access to clean water and sanitation. Objective: This study aims to analyze the factors that influence mothers' behavior in implementing the LINTAS Diarrhea program in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency. Method: This analytical cross-sectional study involved 35 mothers of infants selected using purposive sampling. Data were collected using a closed-ended questionnaire and analyzed using the Chi-Square test ($p&lt;0.05$). Results: The majority of respondents had good knowledge (62.9%), positive attitudes (60.0%), supportive family support (57.1%), and easy access to information (65.7%). Knowledge ($p=0.001$), attitude ($p=0.020$), family support (p=0.003), and access to information (p=0.002) were significantly associated with mothers' behavior in LINTAS Diarrhea. Conclusion: Knowledge, attitude, family support, and access to information influence mothers' behavior in the prevention and management of diarrhea.Keywords: Diarrhea, LINTAS Diarrhea, Mothers' Behavior, Risk Factors</text>
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                <text>Retno Wahyuni, Febriana Sari, Edi Subroto, Petra Dian Zega, Sitti Nuraisyah, Yuni Efitasari, Yosefvania Agatha Hutabarat</text>
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                <text>Background: Mental health among adolescents remains a major public health concern, with stigma, lack of awareness, and limited services acting as barriers to care. The Health Belief Model (HBM) provides a framework to improve health behaviors through modifying perceptions of risk, benefit, and self-efficacy.&#13;
&#13;
Methods: This quantitative study employed a pre-experimental design with a two-group pretest-posttest approach. A total of 50 adolescents aged 12–16 years in Desa Bangun Rejo were recruited using cluster sampling and divided into experimental and control groups (25 each). Data were collected using Likert-scale questionnaires measuring self-awareness, self-efficacy, and emotional regulation before and after HBM-based educational intervention. Data analysis used descriptive statistics, Kolmogorov-Smirnov normality test, Levene’s test, and independent t-test with a significance level of 5%.&#13;
&#13;
Results: The experimental group showed an increase in mean score from 66.00 to 87.60 (p &lt; 0.05), while the control group improved from 64.96 to 76.48 (p &lt; 0.05). Independent t-test results indicated a greater mean improvement in the experimental group (difference 11.12, t = 3.754, p = 0.001), confirming the effectiveness of the HBM intervention in increasing mental health accessibility and reducing anxiety levels.&#13;
Conclusion: HBM-based interventions significantly enhance adolescent mental health accessibility by improving self-awareness and self-efficacy, thus supporting better emotional regulation.</text>
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                <text>Isyos Sari Sembiring </text>
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                <text>Materi dalam buku ini disusun secara sistematis berdasarkan pendekatan praktik berbasis bukti (evidence-based practice), sehingga diharapkan dapat menjadi referensi yang&#13;
relevan dalam dunia pelayanan kesehatan. Buku ini mencakup berbagai aspek penting dalam asuhan persalinan, mulai dari persiapan persalinan, teknik asuhan yang aman dan&#13;
bermartabat, hingga tindakan penatalaksanaan komplikasi. Selain itu, penanganan bayi baru lahir juga dibahas secara detail, termasuk langkah-langkah resusitasi, perawatan tali pusat, pemberian ASI eksklusif, hingga deteksi dini tanda- tanda bahaya.</text>
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                <text>Ester Simanullang, Riska Susanti Pasaribu, Siska Suci Triana Ginting, Nur Azizah,&#13;
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                <text>Catin Behavior Assessment Based on Premarital Screening for Healthy Families Readiness at the Religious Affairs Office in Medan, Johor District Year 2023</text>
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                <text>Determinasi Faktor Kejadian Anemia Pada Ibu Hamil di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025&#13;
&#13;
Damayanti S¹, Marta Armita Silaban², Ade Rachmat Yudiyanto³, Erin Padilla Siregar⁴, Sri Rezeki⁵, Hazizah Sabilah Siagian⁶&#13;
¹,² Pendidikan Profesi Bidan Program Profesi STIKes Mitra Husada Medan&#13;
³,⁴,⁵,⁶ Prodi Kebidanan Program Sarjana STIKes Mitra Husada Medan&#13;
Email: maydamayanti24@gmail.com, martaslabon50@gmail.com, aderachmatyudiyanto@gmail.com, erinpadillasiregar1986@gmail.com, srirejeki64044@gmail.com&#13;
&#13;
ABSTRAK&#13;
Anemia ditandai dengan kadar hemoglobin (Hb) darah di bawah normal. Fungsinya terganggu akibat kekurangan oksigen. Misalnya, gejala seperti kesulitan berkonsentrasi dan kurangnya kebugaran untuk melakukan aktivitas dapat disebabkan kekurangan oksigen otak dan otot. Penelitian ini menggunakan metode analitik observasional dengan survei retrospektif dengan melihat catatan rekam medis pasien di klinik bersalin. Sampel pada penelitian ini adalah 54 orang dengan menggunakan total sampling ibu hamil yang mengalami anemia dengan kriteria inklusi dan eksklusi. Dari hasil uji chi square terhadap usia ibu nilai p=0,016 (p&lt;0,05). Dari hasil uji chi square terhadap paritas ibu nilai p=0,032 (p&lt;0,05). Dari hasil uji chi square terhadap jarak kehamilan nilai p=0,017 (p&lt;0,05). Faktor yang paling dominan menunjukkan bahwa KEK mempengaruhi kejadian anemia pada ibu hamil dengan OR sebesar 5,578 (95% CI 1,731-17,979, p=0,003) ketika wanita hamil dengan KEK lebih mungkin mengalami anemia dibandingkan mereka yang tidak mengalami KEK. Kesimpulan: pemberian makanan tambahan (PMT) berbasis pangan lokal kaya zat besi, protein, dan vitamin C untuk ibu hamil KEK atau dengan risiko tinggi anemia, LILA, pemeriksaan Hb minimal 2 kali selama kehamilan. </text>
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